BMJ Case Reports 2010; doi:10.1136/bcr.12.2009.2573
  • Images in…

An atypical pleural effusion

  1. G J Mellotte
  1. Department of Nephrology, Adelaide and Meath Hospital, Dublin, Ireland
  1. Correspondence to A Smyth, andrewsmyth{at}
  • Published 21 September 2010


A 51-year-old male presented with increasing dyspnoea, pleuritic chest pain and pain in the right shoulder tip. Clinical examination revealed stony dull percussion and absent breath sounds on the right mid and lower zones of the chest. He had no clinical evidence of heart failure or systemic volume overload, the main differential diagnoses in this case. His background …

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